Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis

Patellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasi...

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Bibliographic Details
Published in:Case reports in orthopedics 2019, Vol.2019 (2019), p.1-6
Main Authors: Barretto, João Maurício, e Albuquerque, Rodrigo Pires, Cavanellas, Naasson Trindade, Titonelli, Victor Elias, Portella, Dieno Mol Souza, de Faria, José Leonardo Rocha, de Sousa, Eduardo Branco
Format: Article
Language:English
Subjects:
Case Report
Case reports
Fractures
Knee
Patients
Radiography
Surgery
Systematic review
Trauma
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Summary:Patellar fractures, which constitute approximately 1% of bone lesions, may lead to severe impairment of the extensor mechanism. When conservative or surgical treatment fails, the patella may develop pseudoarthrosis. Neglect or delayed treatment of this type of injury may lead to significant diastasis between the patellar fragments. There is no consensus regarding the best treatment for such cases. This study is aimed at describing a rare case of patellar pseudoarthrosis in a patient who underwent two-step surgical treatment comprising transskeletal patellar traction followed by osteosynthesis with a tension band. A 17-year-old male patient presented with a left patellar fracture that resulted from a fall from a standing height 8 years ago. He did not undergo any type of surgical treatment during that time, but the fracture was immobilized for only 2 weeks. The two-step surgical treatment with transskeletal patellar traction and patellar osteosynthesis was performed and provided satisfactory functional clinical results in this patient. This two-step surgical treatment can be performed in cases similar to ours with satisfactory results.
ISSN:2090-6749
2090-6757
DOI:10.1155/2019/5915701